Included: all patients who are discharged alive from inpatient care are included, except where ‘Not applicable’ has been chosen for documented evidence of joint care planning between health and social care for post discharge management.

Excluded: patients who died in inpatient care or ‘Not applicable’ has been chosen for documented evidence of joint care planning between health and social care for post discharge management are excluded from this indicator

Numerator = the number of patients who received a joint health and social care plan on discharge.Denominator = all the applicable patients in the cohort. Patients who are applicable but did not receive a joint health care and social plan are included in the denominator.

To calculate the numerator:

Count the number of patients for whom there is documented evidence of joint care planning between health and social care for post discharge management (Q 7.11 is ‘Yes’).

Cohort percentage:

For team-centred

For patient-centred

All patients in the team-centred post-72h cohort who were discharged alive from inpatient care

All patients in the patient-centred post-72h cohort who were discharged alive from inpatient care

ExamplePatient V died in inpatient care and is therefore excluded from this indicator.Patient X received a joint health care and social plan, and therefore achieved this indicator.Patient Y did not receive a joint health care and social plan (Q7.11=”No”) and therefore did not achieve this indicator.Patient Z was not applicable for a joint health care and social plan (Q7.11=”Not applicable”) and therefore was excluded from this indicator.